基于LSPI质量改进框架的压力性损伤临床防治国际指南的应用与评价
Application and evaluation of the International Guidelines for Clinical Treatment of Pressure Injury based on LSPI quality improvement framework
王凡凡 1庄敏 1胡三莲 2马俊 2苏怡芳2
作者信息
- 1. 上海交通大学医学院附属第六人民医院 手术室,上海,200233
- 2. 上海交通大学医学院附属第六人民医院 护理部,上海,200233
- 折叠
摘要
目的 分析基于LSPI[领导力(Leadership)、护士培训(Staff)、临床实践优化(Performance Improvement)和信息技术(Information Technology)]质量改进框架的压力性损伤临床防治国际指南的应用效果,以期为促进相关防治实践指南向临床转化提供新方法.方法 应用前-后对照研究方法,选择 2019 年 7 月—2020 年 6 月就诊于本院的住院患者 101 005 例设为对照组,选择 2020 年 7 月—2021 年 6 月就诊于本院的住院患者 110 824 例设为试验组.比较实施前后院内压力性损伤首次风险评估及时率、首次风险评估准确率、高危患者预防措施落实率与压力性损伤发生率.结果 首次风险评估及时率从干预前86.73%上升至干预后 96.25%,首次风险评估准确率从干预前 93.46%上升至干预后 98.69%,高危患者预防措施落实率从干预前 94.21%上升至干预后 98.15%,院内压力性损伤发生率从干预前 0.77‰下降至干预后 0.29‰,前后比较,差异均具有统计学意义(均P＜0.05).结论 基于LSPI质量改进框架的压力性损伤临床防治国际指南的应用可提高压力性损伤过程管理质量,从而降低院内压力性损伤的发生率,促进实施以指南为依据的实践规范.
Abstract
Objective To analyse the effect on implementation of the International Guidelines for Clinical Treatment of Pressure Injuries within leadership-staff-performance improvement-information technology(LSPI)framework of quality improvement,therefore to provide theoretical insights in promoting the transformation of prevention and treatment practice guidelines to clinical practices.Methods A pre-and post-control study was in this study.A total of 101 005 inpatients admitted to our hospital between July 2019 and June 2020 were assigned to a control group,and the other 110 824 patients who were hospitalised between July 2020 and June 2021 were assigned to a trial group.The two groups were compared in terms of the promptness rate and accuracy of primary risk assessment,response rate of high-risk patients and incidence of pressure injury before and after implementation of the guideline.Results After implementation of the guideline,the promptness rate and the accuracy of primary risk assessment and the rate of preventive measures in high-risk patients increased from 86.73%to 96.25%,93.46%to 98.69%and 94.21%to 98.15%,respectively.The incidence of hospital pressure injury decreased from 0.77‰ to 0.29 ‰.All the differences were statistically significant(all P＜0.05).Conclusions Implementation of the International Guidelines for the Clinical Treatment of Pressure Injuries within the LSPI framework of quality improvement can improve the quality of process management in pressure injury and reduce the incidence of pressure injuries.Therefore,it can facilitate the guideline-based code of practice in the clinical practices.
关键词
压力性损伤/领导力-护士培训-临床实践优化-信息技术质量改进/压力性损伤临床防治国际指南/护理管理/前-后对照研究Key words
pressure injury/leadership-staff-performance improvement-information technology quality improvement/International Guidelines for the Clinical Prevention and Treatment of Pressure Injuries/nursing management/pre-and post-control study引用本文复制引用
基金项目
上海交通大学医学院附属第六人民医院重点护理学组建设项目()
出版年
2024
NETL
NSTL
万方数据